Medical Council of Canada MCCQE Part 1 - MCCQE certification

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 35-year-old woman presents to your clinic with double vision and a gritty sensation in her eyes for the past several weeks. On examination, you notice her eyes are bulging. There is inflammation of her conjunctivae and swelling around her eyes. Which one of the following is the most likely diagnosis?

A) Graves ophthalmopathy
B) Orbital pseudotumor
C) Allergic conjunctivitis
D) Periorbital cellulitis
E) Myasthenia gravis

2. A 60-year-old man is admitted to hospital, and lung cancer is diagnosed. When his family physician reviews the discharge summary, she reviews the patient's chart and finds a chest radiograph report from 1 year ago that mentions a suspicious nodule and recommends a computed tomography scan. The family physician recalls seeing this report and did not order the scan. Which one of the following is the family physician's best next step?

A) Call the radiologist who issued the report and determine why the patient was not contacted directly.
B) Communicate with the patient and arrange to disclose this information to him.
C) Discipline the office staff for not bringing the report to her attention.
D) Forward the report to the oncology team that will be treating him.
E) Do not disclose at this time.

3. You are providing medical care to a 78-year-old man and notice a skin lesion which you suspect is malignant melanoma. He has been living in a long-term care facility for 2 years because of incontinence, mobility and vision problems. He is well-liked by facility staff and residents, manages his own affairs and communicates clearly. He has designated his daughter to be his substitute decision-maker and has signed a Do Not Resuscitate (DNR) order. Which one of the following is the best next step in providing care to this patient for his skin lesion?

A) Contact the daughter to inform her of your findings and discuss possible investigations.
B) Discuss your tentative diagnosis with him and ask about his preferences regarding investigations.
C) Ask him whether you can discuss your diagnosis and care with his daughter.
D) Respect his DNR wishes, and do nothing about the skin lesion.
E) Perform a biopsy to ensure an accurate diagnosis before discussing diagnosis and treatment.

4. A 24-year-old woman with chronic anorexia nervosa presents to the Emergency Department with diarrhea, chest pain and palpitations. She is noted to have a BMI of 13, a heart rate of 48/min, significant orthostatic hypotension and a temperature of 35.9 °C. Her electrocardiogram shows frequent premature ventricular contractions. Her blood work indicates elevated liver transaminases and evidence of acute kidney injury from dehydration. She agrees to admission for medical stabilization only if she does not receive fluids either orally or intravenously, as they will cause her to gain weight and to feel bloated. Which one of the following is the best next step?

A) Obtain a psychiatric consultation
B) Ask her if she has a substitute decision-maker
C) Refuse to admit her unless she agrees to full treatment
D) Start intravenous fluids and physically restrain if necessary
E) Assess her capacity to consent for medical treatment

5. A 28-year-old woman presents because of spotting mid-menstrual cycle. Speculum examination reveals an ulcerated endocervical polyp. Which one of the following is the most appropriate management?

A) Punch biopsy.
B) Colposcopy.
C) Polypectomy.
D) Cryotherapy.
E) Serial cytology.

Solutions: